Individual provider Active NPI

Rik Michael Wahlrab, D.C.

  • Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1932230935
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16924 Issued in CA
Practice address
25272 McIntyre St Ste H
Laguna Hills, CA 92653-5449
Phone
(949) 207-4935
NPI assigned
Mar 8, 2007
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC16924 CA Primary

Addresses

Primary practice location

25272 McIntyre St Ste H
Laguna Hills, CA 92653-5449

Mailing address

25272 McIntyre St Ste H
Laguna Hills, CA 92653-5449
Phone (949) 207-4935

Other identifiers 3

IdentifierTypeStateIssuer
DC16924AOtherCAPTAN
DC0169240OtherCABLUE SHIELD
DC16924OtherCACHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000418 CA Practitioner - Chiropractic 7012820111 Practice locations: Laguna Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25272 McIntyre St
Suite H
Laguna Hills, CA 92653-5449
Phone (949) 874-0766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC16924CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Horiyat, a Dental Corporation PastSince Jul 24, 2022 Accepting new patients
Thomas a Demoss, Chiropractic Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1932230935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25272 MCINTYRE ST STE H",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535449",
            "telephone_number": "949-207-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25272 MCINTYRE ST STE H",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535449",
            "telephone_number": "949-207-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLRAB",
        "first_name": "RIK",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DC16924A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0169240",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC16924",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.